Organization
MID CITY D.M.E. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELEANOR GENORA COLLINS (OWNER)
(601) 425-3043
Entity
Organization
Contact information
Practice address
316 CENTRAL AVE, LAUREL, MS 39440-3916
(601) 425-3043
Mailing address
316 CENTRAL AVE, LAUREL, MS 39440-3916
(601) 425-3043
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5642570001
MS
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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